• Medical Coder II

    Ellis Medicine (Schenectady, NY)
    This position can be local or remote !! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding more
    Ellis Medicine (07/29/25)
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  • Clinical Analyst Appeals

    Beth Israel Lahey Health (Charlestown, MA)
    …taking a job, you're making a difference in people's lives.** This is a remote based role. Reporting to the Manager, Patient Financial Services, the Clinical Analyst ... will perform high-level clinical appeal for services in the inpatient and outpatient hospital setting, to ensure that Beth...and state laws and regulations as they pertain to coding , billing, and documentation. To educate, give support, and… more
    Beth Israel Lahey Health (10/11/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified ... Description** **Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue Auditor for the… more
    Mount Sinai Health System (09/24/25)
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  • RN - Registered Nurse - Clinical Documentation…

    Geisinger (Danville, PA)
    …population; identifies opportunity for improvement. + Promotes a partnership with the inpatient coding professionals to ensure the accuracy of principal ... uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record...documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and… more
    Geisinger (09/28/25)
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  • Coder II Professional Fee

    CommonSpirit Health Mountain Region (Englewood, CO)
    …with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff ... will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and...CO, KS and NM, this position is open to remote /out of state candidates residing in only these states:… more
    CommonSpirit Health Mountain Region (09/26/25)
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  • Medical Director-Payment Integrity

    Humana (Washington, DC)
    …of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of ... level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is… more
    Humana (09/26/25)
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  • Mental Health Clinician III (Staffing Office)…

    State of Colorado (Denver, CO)
    …in achieving their recovery goals and reaching their full potential. CMHHIFL provides inpatient treatment to adult patients, generally between the ages of 18-59. The ... hospital currently has 138 adult inpatient beds and over six treatment milieus serving civil...supplies dispensed from department office are charged to appropriate coding string(s). The Clinical MHC III will be responsible… more
    State of Colorado (10/14/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work Schedule Monday to ... for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
    Molina Healthcare (10/18/25)
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  • Coder II - Certified, Full Time

    Cabinet Peaks Medical Center (Libby, MT)
    …abstracts clinical documentation and codes diagnoses and procedures for inpatient and outpatient encounters, including surgeries, urgent care, emergency department, ... diagnosis and procedure codes for assigned patient encounters using appropriate coding guidelines and regulations. Compiles and distributes statistical reports as… more
    Cabinet Peaks Medical Center (08/23/25)
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  • Facility Coder Outpatient Educator

    Children's Mercy Kansas City (Kansas City, MO)
    …the electronic charge capture process for all assigned clinical departments per coding compliance and CMH charge capture protocols by proactively identify charge ... ensure compliance with CMH charge capture protocols. + Provide oversight for coding /billing for assigned areas within Revenue Cycle by working with designated staff… more
    Children's Mercy Kansas City (10/13/25)
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